Evaluation of changes in prescription among Japanese elderly patients before and after transition to home care

Urinary Incontinence is involuntary urination, or leakage of urinary that is very real and pose a social. High incidence rates urinary incontinence causes the need for treatment with massage, kegel exercise aimed at rebuilding pelvic floor muscle strength. The purpose of this study was to determine whether there is a difference in urinary incontinence before and after the massage, kegel exercise in elderly patients in public hospitals deliberate delitua in 2018. The study design used is quasy experiment, using the design of pre-test and post-test control group design. Population and samples used in this study were 15 elderly who have urinary incontinence taken by accidental sampling. Based on the result of statistical test by using T-test with paired sample T-test obtained dat analysis showed that based on age af patient based on age patient urinary incontinence most aged 60-65 years (66,7%), while at age 66-70 (20,0%), and at least 71-74 (13,3%). Can be known urinary incontinence before given massage, kegel exercise counted 14 people (93,3%) medium incontinence and as many as 1 person (6,7%) severe incontinence. After given message, kegel exercise can be seen that there are descrease that is as much as 7 people (46,7%) light incontinence and as many as 8 people (53,3%) medium incontinence. The conclusions of these result indicate that there is an effect of massage, kegel exercise to urinary incontinence in elderly patients in public hospitals deliberate delitua.

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Home care packages: insights into the experiences of older people leading up to the introduction of consumer directed care in Australia

Australian Journal of Primary Health ◽

10.1071/py16022 ◽

2017 ◽

Vol 23 (2) ◽

pp. 162 ◽

Cited By ~ 8

Author(s):

Jenny Day ◽

Ann Clare Thorington Taylor ◽

Peter Summons ◽

Pamela Van Der Riet ◽

Sharyn Hunter ◽

...

Keyword(s):

Home Care ◽

Older People ◽

Study Data ◽

Care Quality ◽

Two Phase ◽

Face To Face ◽

Before And After ◽

Qualitative Descriptive ◽

Care Coordinators ◽

Field Notes

This paper reports phase one, conducted from March to June 2015, of a two-phase, qualitative descriptive study designed to explore the perceptions and experiences of older people before and after the introduction of consumer directed care (CDC) to home care packages (HCP) in Australia. Eligible consumers with a local HCP provider were mailed information about the study. Data collection occurred before the introduction of CDC and included face-to-face, in-depth interviews, summaries of interviews, field notes and reflective journaling. Semi-structured questions and ‘emotional touchpoints’ relating to home care were used to guide the interview conversation. Line-by-line data analysis, where significant statements were highlighted and clustered to reveal emergent themes, was used. Five older people, aged 81 to 91 years, participated in the study. The four emergent themes were: seeking quality and reciprocity in carer relationships; patchworking services; the waiting game; and technology with utility. Continuity of carers was central to the development of a trusting relationship and perceptions of care quality among older consumers. Care coordinators and workers should play a key role in ensuring older people receive timely information about CDC and their rights and responsibilities. Participants’ use of contemporary technologies suggests opportunities to improve engagement of HCP clients in CDC.

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Influence of Genetic Polymorphisms and Non-Genetic Factors upon Warfarin Maintenance Dose in Japanese Elderly Patients

Rinsho yakuri/Japanese Journal of Clinical Pharmacology and Therapeutics ◽

10.3999/jscpt.42.333 ◽

2011 ◽

Vol 42 (5) ◽

pp. 333-340

Author(s):

Hajime NAKASHIMA ◽

Jun MIURA ◽

Tsukasa UNO ◽

Terufumi MATSUNAGA ◽

Tomonori TATEISHI

Keyword(s):

Elderly Patients ◽

Genetic Polymorphisms ◽

Maintenance Dose ◽

Genetic Factors ◽

Japanese Elderly ◽

Warfarin Maintenance Dose

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Attitudes of In-Home Care Aides toward Elderly Persons: Refinement of the Oberleder Attitude Scale

Perceptual and Motor Skills ◽

10.1177/00315125890693-207 ◽

1989 ◽

Vol 69 (3-2) ◽

pp. 1103-1106

Author(s):

Betty G. Dillard ◽

Betty L. Feather

Keyword(s):

Elderly Patients ◽

Home Care ◽

Attitude Scale ◽

Elderly Persons ◽

Positive Attitudes ◽

Care Aides ◽

Home Care Aides

The Oberleder Attitude Scale was reduced from 25 to 16 items and was factored into three major concepts, potential, limitations, and stereotypes. Responses of 345 in-home care aides indicated that the 345 aides held positive attitudes toward their elderly patients.

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Requirements for promoting the transition of aging patients with cognitive and physical disorders to home care: A new case analysis design

Clinical Nursing Studies ◽

10.5430/cns.v6n3p79 ◽

2018 ◽

Vol 6 (3) ◽

pp. 79

Author(s):

Katsutoshi Sasaki ◽

Chihiro Torigoshi ◽

Makiko Kondo

Keyword(s):

Home Care ◽

Mixed Method ◽

Care Service ◽

Cognitive Disorders ◽

Descriptive Data ◽

Rate Of Increase ◽

The Family ◽

Before And After ◽

Physical Disorders ◽

Hospital To Home

Objective: This study clarified requirements for transitioning aging patients with cognitive and physical disorders to home care and developed a new mixed methodology using medical records.Background: Japan has the highest proportion and highest rate of increase of older adults worldwide. Transitioning aging patients from hospital to home care is a key strategy to manage this increase; however, this transition presents challenges.Methods: A mixed method study was conducted, using descriptive data from medical records.Results: Of 41 participants, 61% were amicable settlement cases and 39% were non-amicable. In total, 56.1% went home: 36.6% were amicable and 19.5% were non-amicable. Requirements for transition to home care were [Patient’s mental stability], [Necessary care for the patient within the family’s tolerance level], [Decreasing the family’s burden of care by accessing the public care service], [Preparing the family to bear the heavy burden of caring for multiple family members at home], [Decreasing the risk of worsening condition through patient compliance], and [Setting realistic goals and reconciling them with the family].Conclusions: The transition requirements related to cognitive disorders, gaps in physical functioning before and after hospitalization, and aging society. They were fulfilled through concrete preparation of the family for coping with home care, with the patient’s mental stability as a precondition.Relevance to clinical practice: Fulfillment of these requirements is essential for successful transition to home care for aging persons with multiple disorders. Our original mixed method design promotes a new methodology for qualitative research using descriptive data from medical records.

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